Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $57.90 / $57.90	Facility		$57.90	$57.90	$57.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $99.20 / $442.24	Professional		$57.90	$99.20	$442.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $98.88 / $125.49	Professional		$98.88	$98.88	$125.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.24 / $58.19 / $112.56	Facility		$44.24	$58.19	$112.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $90.10 / $121.40	Professional		$53.40	$90.10	$121.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.00 / $121.84 / $163.44	Professional		$91.00	$121.84	$163.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $81.20 / $123.21	Facility		$49.22	$81.20	$123.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $119.22 / $384.82	Professional		$93.02	$119.22	$384.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.41 / $111.32 / $163.44	Facility		$72.41	$111.32	$163.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $116.38 / $163.44	Professional		$86.37	$116.38	$163.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $56.07 / $61.91 / $112.40	Professional		$56.07	$61.91	$112.40
United Facility/Professional Professional Modifier Low / Median / High Price $93.02 / $119.22 / $150.69	Professional		$93.02	$119.22	$150.69